SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person* Tangney Jeffrey (Last) (First) (Middle) DOXIMITY, INC. 500 THIRD STREET (Street) SAN FRANCISCO CA 94107 (City) (State) (Zip)	2. Date of Event Requiring Statement (Month/Day/Year) 06/23/2021	3. Issuer Name and Ticker or Trading Symbol Doximity, Inc. [ DOCS ]
		4. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director X 10% Owner X Officer (give title below) Other (specify below) Chief Executive Officer	5. If Amendment, Date of Original Filed (Month/Day/Year)
			6. Individual or Joint/Group Filing (Check Applicable Line) Form filed by One Reporting Person X Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Class B Common Stock	(1)	(1)	Class A Common Stock	6,421,666	$0.0	D(2)
Class B Common Stock	(1)	(1)	Class A Common Stock	20,000,000	$0.0	I	By Tangney Annuity Trust, LLC(3)
Class B Common Stock	(1)	(1)	Class A Common Stock	22,792,612	$0.0	I	By Tangney Schweikert Family Trust(4)
Series A Preferred Stock	(5)	(5)	Class B Common Stock(1)	1,042,700	$0.0	I	By Tangney Schweikert Family Trust(4)
Series B Preferred Stock	(5)	(5)	Class B Common Stock(1)	77,054	$0.0	I	By Tangney Schweikert Family Trust(4)
Series C Preferred Stock	(5)	(5)	Class B Common Stock(1)	550,964	$0.0	I	By Tangney Schweikert Family Trust(4)
Stock Option (Right to Buy)	(6)	03/28/2028	Class B Common Stock(1)	846,000	$0.97	D(7)
Stock Option (Right to Buy)	(8)	03/28/2028	Class B Common Stock(1)	1,792,000	$0.97	D(7)
Stock Option (Right to Buy)	(9)	06/20/2026	Class B Common Stock(1)	8,334	$0.6	D(7)
Stock Option (Right to Buy)	(10)	06/20/2026	Class B Common Stock(1)	100,000	$0.6	D(7)
Stock Option (Right to Buy)	(11)	02/15/2031	Class B Common Stock(1)	3,750,000	$8.26	D(7)

1. Name and Address of Reporting Person* Tangney Jeffrey (Last) (First) (Middle) DOXIMITY, INC. 500 THIRD STREET (Street) SAN FRANCISCO CA 94107 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer X Director X 10% Owner X Officer (give title below) Other (specify below) Chief Executive Officer

1. Name and Address of Reporting Person* Tangney Annuity Trust, LLC (Last) (First) (Middle) C/O DOXIMITY, INC. 500 THIRD STREET (Street) SAN FRANCISCO CA 94107 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director X 10% Owner Officer (give title below) Other (specify below)

1. Name and Address of Reporting Person* Tangney Schweikert Family Trust (Last) (First) (Middle) C/O DOXIMITY, INC. 500 THIRD STREET (Street) SAN FRANCISCO CA 94107 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director X 10% Owner Officer (give title below) Other (specify below)

Explanation of Responses:

1. Each share of Class B Common Stock, par value $0.001 per share (the "Class B Common Stock"), is convertible into one share of Class A Common Stock, par value $0.001 per share (the "Class A Common Stock"), at any time at the option of the holder. Each share of Class B Common Stock held by the Reporting Person will automatically convert into one share of Class A Common Stock, upon the following: (1) the sale or transfer of such share of Class B Common Stock, except for certain permitted transfers described in the Issuer's amended and restated certificate of incorporation; (2) the death or incapacity of the Reporting Person; and (3) on the final conversion date, defined as the earlier of (a) the tenth anniversary of the effectiveness of the registration statement in connection with the Issuer's initial public offering ("IPO"); or (b) the date specified by a vote of the holders of at least 66 2/3% of the outstanding shares of Class B Common Stock, voting as a single class.

2. These shares are owned directly by Jeffrey Tangney.

3. These shares are owned directly by Tangney Annuity Trust, LLC, a ten percent owner of the Issuer, and indirectly by Mr. Tangney as trustee of such trust. Mr. Tangney is an officer, director and ten percent owner of the Issuer.

4. These shares are owned directly by the Tangney Schweikert Family Trust, a ten percent owner of the Issuer, and indirectly by Mr. Tangney as trustee of such trust.

5. Each share of Series A Preferred Stock, Series B Preferred Stock and Series C Preferred Stock (collectively, the "Preferred Stock") shall automatically convert into one share of Class B Common Stock on a one-for-one basis, immediately prior to the closing of the IPO. The shares of Preferred Stock have no expiration date.

6. The stock option vests in 48 equal monthly installments after March 11, 2018, subject to Mr. Tangney's continuous service relationship with the Issuer through each applicable vesting date. The stock option was granted on March 29, 2018.

7. The stock option was granted to Mr. Tangney.

8. The stock option vests in full if, prior to September 30, 2022, either (i) the Issuer completes a qualified IPO and the average daily closing price of the Issuer's Class A Common Stock during the three-month period commencing on the first date of the fourth calendar month following the expiration of the post-IPO lock-up period exceeds $9.66 per share; or (ii) the Issuer completes a liquidation event where the value of the Issuer's Common Stock in such transaction equals or exceeds $9.66 per share. The stock price target of $9.66 per share was based on an increase of ten times the price of the Issuer's Common Stock at the time the stock option was granted on March 29, 2018, after giving effect to a 2-for-1 forward stock split effected by the Issuer on June 8, 2021.

9. The stock option vested subject to a time-based and performance-based vesting schedule. The stock option vested in 12 equal monthly installments after March 27, 2020 and became exercisable upon the date that the Issuer's Board of Directors (the "Board") determined that the company-wide performance goals established for calendar year 2019 were achieved. The stock option was granted on June 21, 2016.

10. The stock option vests subject to a time-based and performance-based vesting schedule. The stock option vests in 12 equal monthly installments following the date that the Board determined Mr. Tangney met certain goals related to revenue, corporate governance, IPO readiness and member engagement; the Board determined such date to be March 31, 2021, subject to Mr. Tangney's continuous service relationship with the Issuer through each applicable vesting date. The stock option was granted on June 21, 2016.

11. The stock option vests in 60 equal monthly installments after April 1, 2022, subject to Mr. Tangney's continuous service relationship with the Issuer through each applicable vesting date. The stock option was granted on February 16, 2021.

Remarks:

Exhibit 24 - Power of Attorney

	/s/ Jennifer Chaloemtiarana, Attorney-in-Fact for Jeffrey Tangney	06/23/2021
	/s/ Jennifer Chaloemtiarana, Attorney-in-Fact for Tangney Annuity Trust, LLC	06/23/2021
	/s/ Jennifer Chaloemtiarana, Attorney-in-Fact for Tangney Schweikert Family Trust	06/23/2021
	** Signature of Reporting Person	Date
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